Professional Documents
Culture Documents
Therapeutic Relationships
Attempt
to establish relatedness
Structure
nursing interventions
communication of distressing
thoughts and feelings
Assist
Help
Promote
Social Relationships
Initiated
Mutual
Communication
of communication
superficial
Therapeutic Relationships
Needs
Clear
boundaries established
Problem-solving
New
approaches taken
Behavioral
change encouraged
on patients needs
Clinical
competence
Delaying
judgment
Supervision
Acceptance
of person, not
necessarily his or her
behavior
Establishing Boundaries
Physical
The
boundaries
contract
Personal
space
Blurring of Boundaries
When
When
Blurring of Roles
Reflect
own culture/subculture
Derived
Chosen
phase
Working phase
Termination phase
Orientation Phase
Establishing rapport and build a foundation
for further work
Introductions and setting parameters of the
relationship
Formal or informal contract (determining the
main problem)
Confidentiality
Terms of termination
Working Phase
Maintain
Gather
relationship
further data
Promote
clients
Problem-solving
skills
Self-esteem
Use
of language
Available
resources
behavioral change
Overcome
resistant behaviors
Evaluate
Redefine
Promote
them as necessary
Termination Phase
Summarize
achieved
Discuss
Review
situations of relationship
Exchange
memories
Consistency
Pacing
Listening
Initial impressions
participation
Genuineness
Positive regard
Attitudes
Actions
Attending
Obstacles to Establishing a
Therapeutic Relationship
Confronting
and judgmental
attitude
Excessive
probing
Lack
of self-awareness
Poor
communication skills
Inability
to differentiate data
collection from assessment
Question 1
A nurse seeks to establish a
relationship with a patient readmitted
to the hospital. The patient has
bipolar disorder, depressed type, and
was hospitalized the preceding
month. Which statement by the nurse
would contribute to establishing trust?
Question 1 (Cont.)
A. Werent you complying with your medication
regimen?
B. It must be discouraging to be readmitted to the
hospital so soon.
C. Everyone with bipolar disorder ends up in the
hospital occasionally.
D. You must take your drugs as prescribed or you
will be re-hospitalized.